Individual provider · Type 1 NPI

Jessica Carbonaro

Mental Health Counselor · Riverside, CA

NPI number 1366011371 Active

Practice location

9890 County Farm Rd Ste 2
Riverside, CA 92503-3678

Mailing address

2701 N 16th St Ste 316
Phoenix, AZ 85006-1266

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X121586 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1366011371

Jessica Carbonaro's National Provider Identifier is 1366011371, issued on Jun 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Jun 23, 2021.